foundationinc healthy skin by dermatologists

celebrating 25 years of leadership in dermatology and skin health in australia

annual and financial report 2012-2013 our vision

The leader in dermatology and skin health in Australia

our mission

clinics: to provide patient-focused, world class dermatological care education: to lead the promotion of skin health in the community through education in dermatology, including dermatologists, trainees and health care professionals research: to achieve global outcomes by contributing to dermatology research

invigorate & sustain: to invigorate and sustain the Foundation for the future

our focus

“Healthy Skin by Dermatologists”

This sums up the Foundation’s commitment to the community to foster healthy skin through service and advice provided by dermatologists - the skin experts

2 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 contents

25 Years at the Foundation ------4

From the President​ ------14

From the Executive Director ------18

Representatives ------20

Clinics ------26

Education ------28

Research ------30

Occupational Dermatology Research & Education Centre ------32

25 Years of Contact Dermatitis ------34

Publications & Presentations ------36

Financial Report ------40

Patient Feedback ------46

Supporters ------48

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 3 25 years at the foundation take a look at our journey - 1986 to 1991

OCTOBER 1986 A small group of dermatologists meet “to establish a further relationship between the Skin and Cancer Foundation in Sydney and the proposed Skin and Cancer Foundation in Melbourne, and to elect a working committee of the Skin and Cancer Foundation (Melbourne).”

JANUARY 1987 Business name of Skin and Cancer Foundation Inc registered. Foundation takes up residence at 12 St Andrews Place, East Melbourne, which was part of the old St Andrew’s Hospital.

1986 1987

OCTOBER 1987 Dr Ken Paver was invited to officially open the Foundation. Dr Michael Rich becomes the inaugural President of the Foundation. Dr Greg Goodman, now Associate Professor, was elected Vice-President.

The Sydney-based Dr Paver is considered one of the most influential and visionary dermatologists in Australia. He had played a key role in establishing the Skin and

Plaque commemorating the official opening of the Cancer Foundation in Sydney and provided Foundation on 24 October 1987 considerable advice and support to the committee involved in establishing the Skin & Cancer Foundation in Victoria.

4 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Dodgshun House, designed by Hyndman & Bates, is a grand Victorian Italianate style house built in 1865. It remains one of the few mansions at the city end of Brunswick Street.

Formerly known as “ Edensor”, Dodgshun House was the birthplace of Mary Mackillop, canonised by Pope Benedict XVI in 2010 as Australia’s first saint. She was born there in Dodgshun House, 9 Brunswick St, Fitzroy 1842.

A little later that year, her father suffered financial difficulties and sold the property to Jonathan Binns Were, the founder of what is now the prominent financial services and wealth management company, JBWere.

DECEMBER 1990 Foundation relocates to Dodgshun House, 9 Brunswick St, Fitzroy. Mary Mackillop

1990 1991

JUNE 1991 Committee minutes record “Dr Rosemary Nixon to liaise with Rosemary Carter on the production of a new brochure concerning the Skin and Cancer Foundation. This will be distributed Australia wide.”

JUNE 1991 Winter Conference held at Mt Buller. The conference made $1,000 profit. The following year’s Winter Conference at Mt Buller made a “profit of a bit over $1300, which is not bad when you take into consideration the Liposuction Workshop about that time lost a bit more than $1500.”

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 5 25 years at the foundation take a look at our journey - 1993 to 2001

OCTOBER 1994 Staff in front of 95 Rathdowne Street Skin and Cancer Foundation becomes affiliated with the Australian Medical Association.

JUNE 1993 The Foundation moves into 95 Rathdowne Street (from Dodgshun House).

1993 1994

SEPTEMBER 1993 The Board of St Vincent’s Hospital approves an Agreement with the Skin and Cancer Foundation “for joint and cooperative activities to benefit dermatology in Victoria”. DECEMBER 1994 Legislation allowed by the Governor-in- Council effecting the affiliation of the Skin and Cancer Foundation with the University of Melbourne. The affiliation came into effect on 1 January 1995.

6 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Mohs surgery is a highly specialised form of skin cancer surgery. It involves the microscopic examination of the horizontal specimens of skin cancers at the time of removal, in order to assess the adequacy of surgery.

MAY 1995 The Skin & Cancer Foundation Inc receives $24,000 grant from the AMP Society “to assist with upgrades to equipment needed Mohs surgery for Mohs surgery.”

NOVEMBER 2000 Foundation reports providing over 7,500 clinical services during the year.

1995 1997 2000 2001

JUNE 1997 The Skin & Cancer Foundation Inc asked to contribute to 19th World Congress of Dermatology, held in Sydney.

MARCH 2001 The Occupational Dermatology and Education Centre (ODREC) is established as a division of the Skin & Cancer Foundation Inc and the Occupational Dermatology Clinic relocates from Monash Medical Centre.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 7 25 years at the foundation take a look at our journey - 2002 to 2005

“His capacity to remember and recall voluminous amounts of detail about contact allergens was a constant source of wonderment to all who worked with him in clinics.

Foundation staff and colleagues will always remember him not only as a great doctor, but also as a kind, gentle and modest soul who was loved by all who knew him.”

The Foundation established an annual prize in 2003, known as the John Fewings Memorial Prize. The annual prize continues to this day, and is awarded at the Australasian College of

Dr John Fewings Dermatologists’ Annual Scientific Meeting for the best paper in contact dermatitis.

FEBRUARY 2002 It was with great sadness and regret that the Skin and Cancer Foundation farewelled its friend NOVEMBER 2002 and colleague, Dr John Fewings. Foundation reports providing over 10,000 clinical services during the year.

2002

2002 The Foundation welcomes the Governor of Victoria, John Landy, as official Patron. “We are honoured to have a man of Governor Landy’s stature as patron of our organisation.”

This patronage has been generously continued by successive Governors Professor David de Kretser and, currently, His Excellency Alex Chernov, AO, QC.

John Landy was famous for his sporting achievements. He was the second man to run the mile in under 4 minutes, recording a world-record time of 3:57:9 in June 1954.

He became internationally famous for his part in the 1954 Vancouver Commonwealth Games mile race. Again he achieved a time of less than 4 minutes, but was pipped at the end by Roger Bannister. That race is still referred to as “The Miracle Mile”.

In Australia he will always be remembered for his part in the 1500 meters final of the 1956 Australian National Championships, in the lead up to the Melbourne Olympics. Landy stopped and helped fellow athlete Ron Clarke who had fallen after tripping with another runner. After being helped up, Clark rejoined the race. Landy quickly followed and, incredibly, lapped the field to win. Landy’s gesture, and subsequent win, is now considered one of the greatest moments in Australian sporting history.

As Patron, Governor John Landy was an inspiration to the members and staff of the Foundation

8 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 The clinic is a specialist Skin Cancer Clinic. Patients present with the full range of skin cancers including melanomas, basal cell carcinomas and squamous cell carcinomas for diagnosis and treatment. Unlike the widely promoted ‘skin cancer clinics’ staffed by general practitioners in the community, this clinic does not offer routine ‘skin checks’ as patients must be referred.

The clinic provides a streamlined and professional 2005 exemplar model of service, teaching and Mr Peter Garamszegi resigns after research. It has many visiting medical students, 10 years as Chief Executive Officer. GPs and other dermatologists from Australia and overseas.

2005 The Skin & Cancer Foundation Inc and Peter MacCallum Cancer Centre enter into joint venture to establish the Skin Cancer Assessment Clinic.

2005 Mr Joe Mercuri appointed General Manager, later Chief Executive Officer.

2005

John Landy A moment in history: Ron Clark and John Landy, Melbourne 1956

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 9 25 years at the foundation take a look at our journey - 2006 to 2010

The new building provides three times the floor space, allowing the Foundation to substantially increase the clinical, surgical, teaching and research activities, with all the increased efficiencies of a purpose built facility.

For many years, this booklet was given 2008 to the mother of every newborn child The Governor of Victoria and Patron of the Skin & in Victoria with information about Cancer Foundation Inc, Professor David de Kretser common skin conditions. AC, opens the new home of the Foundation at 80 Drummond Street, Carlton. 2007 The Governor Professor David de Kretser AC, launches “Common Skin Conditions in the Family”, a public health initiative and education resource.

2006 2007 2008

NOVEMBER 2006 Foundation reports providing over 2008 15,000 clinical services during the Skin & Cancer Foundation Inc establishes year. what is now the Australasian Psoriasis Register, expanding on the Rheumatology database developed with the support of the Australasian College of Dermatologists, 2006 Epiderm and the pharmaceutical industry. Professor David de Kretser AC becomes Governor of Victoria, and continues the The Australasian Psoriasis Register collects patronage of the Foundation established long-term information about patients’ by his predecessors. David is an psoriasis management, their health and endocrinologist who has had an illustrious quality of life, aiming to provide reliable clinical research career in men’s health and valid outcome data to Australian and associated with the Prince Henry’s Institute New Zealand doctors. and Monash Medical Centre.

10 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 80 Drummond Street, Carlton Plaque showing opening of the facility on 12th November 2008

MARCH 2010 Skin & Cancer Foundation Inc becomes first Australian centre to sign an agreement with Probity Medical 2009 Research, the international clinical trials consortium. Dr Tim Rutherford and Dr Ed Upjohn join Associate Professor Greg Goodman, Vanessa Morgan and Dr Phil Bekhor in providing Moh’s 2010 surgery. Participant in Federal Government’s Telehealth Advisory Group.

2009 2010

DECEMBER 2010 2010 Plastic and Reconstructive Governance Review results in constitutional Surgeon, Mr Miklos Pohl OAM, change where external experts are commences Advanced Surgery appointed to the Board and dermatologists Clinics at the Foundation. remain in majority.

2010 Board commissions review of Foundation. Mr Chris Arnold appointed Executive Director. OCTOBER 2010 The Skin & Cancer Foundation Inc initiates a transition program for final-year registrars to provide graduates with advice on career opportunities, practice management, work-life balance and financial planning. The program is well received, and now conducted annually at the Foundation.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 11 25 years at the foundation take a look at our journey - 2011 to 2013

MARCH 2011 Dr Hugh Roberts joins Skin Cancer Assessment Clinic and Skin Health Assessment Clinic at the Foundation. DECEMBER 2011 Professor Robin Marks retires after more than a decade as Head of the Skin Cancer Assessment Clinic.

2011 Foundation publishes online education program on skin health for aged and their carers.

2011 Teledermatology introduced.

2011

JUNE 2011 2011 Introduction of White Night Gala Ball and Healthy The Skin & Cancer Foundation Skin Awards. Inc acquires a number of lasers to commence training and service provision in aesthetics. Injectables were also added.

It is critical that registrars be properly trained, and for dermatologists to take a leadership role, in the provision of professionally delivered aesthetic services. Associate Professor Greg Goodman, Dr Michael Rich as well as Plastic Surgeons Mr Phil Bekhor and Ms Belinda Welsh have been major contributors to training in these clinics. Guests enjoying themselves at the 2011 White Night Gala Ball and Healthy Skin Awards

12 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 The Rotary Dermatology Research Centre was opened by the Health Minister, the Hon David Davis MLC in 2012. This centre has allowed consolidation of research and education activities in our ground floor area. In addition, the centre will provide space and support for the planned new full chair of Dermatology at the University of Melbourne.

AUGUST 2012 The Rotary Club of Melbourne supports Skin & Cancer Foundation Inc to establish the Rotary Chris Arnold with Heatlh Minister David Davis looking over microscopes in Dermatology Research Centre. education centre

2013 Accredited ISO9001 and National Safety and Quality Health Standards.

2012 Foundation publishes online MARCH 2013 Healthy Skin at any age, and Foundation holds inaugural March Against Heatlhy Skin app. Melanoma along St Kilda foreshore.

2012 2013

2012 Partner in the Victorian Government’s Cancer Prevention Strategy Development.

2012 Establishment of dedicated education centre for registrars and trainees. MARCH 2013 Drs Desmond Gan and Michelle Rodrigues are jointly awarded the 2012 Paul Eddington Scholarship to study Long serving Foundation Committee member Dr treatments for vitiligo overseas, James Butler retires. Radiotherapist technician Robin prior to starting the Foundation’s Smale also retires after a lengthy period of service in first Vitiligo Clinic. this Clinic.

2012 Foundation supports University of Melbourne first full Chair in Dermatology.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 13 from the president

I must open this report by acknowledging the enormous time and effort that Associate Professor Peter Foley contributed as President of the Skin & Cancer Foundation Inc during the past 6 years. He has guided us through some remarkable achievements during that time, and we are all grateful, and better off, for his wisdom, skills and tireless efforts.

25th Anniversary The Foundation celebrated its silver anniversary in October 2012. This was an important milestone: 25 years of clinical treatment, education and research into skin health and skin cancer.

This Annual Report celebrates the contribution of our members over this period and highlights some of the important milestones in the achievements of the Foundation.

The Foundation is unique because of the support its members provide. Over 45 contribute their time every month to training clinics. These members, together with others, also volunteer their time to provide educational seminars for the profession and to trainees. They set a wonderful example to new dermatologists who have been supported by the Foundation in their training, many of whom then join their colleagues in the activities of the Foundation. A/Prof Chris Baker President The Board wishes to reiterate its sincere thanks to all members.

Accreditation and Day Centre registration The Foundation is a diversified centre of excellence in dermatology.

We are now close to completing a comprehensive two year program, involving obtaining ISO 9001 Quality Management Systems and National Health Standards Accreditation (achieved Feb 2013), registration as a Day Centre by State and Federal governments (Sept 2013) and, finally, obtaining health insurance fund benefits for surgical and related procedures. Contracts with major health funds will be completed by late this year.

We have channelled significant funds and resources into these endeavours. The benefits include accreditation and ability to access health fund funding to reduce the cost to patients. Increased Foundation activity is also proposed, as we encourage additional sessions in advanced surgery and Mohs surgery where insured patients will have minimal or no out of pocket costs.

White Night Gala Ball and National Healthy Skin Awards The 2013 White Night Gala Ball was highly successful and well attended. Special guests included our Patron the Governor of Victoria, The Hon. Alex Chernov AC QC, as well as the Victorian Minister for Health, the Hon David Davis MLC, the US Consul General, and Senator Mitch Fifield.

The 2013 Healthy Skin Awards went to

• King & Wood Mallesons • Macquarie Group Ltd • Meat Workers Union • Woman’s Health Magazine

The above winners received the award in recognition for their commitment to supporting and encouraging the promotion of skin health to their employees/ members of their workplace.

14 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 March Against Melanoma Staff and consultants survey After an unsuccessful attempt to bring together and coordinate A survey, which included feedback on the Board, was undertaken, a national consortium to run marches across Australia, the with suggestions implemented. Foundation focused on running a successful March Against Melanoma earlier this year in Melbourne. In May, the Board also undertook a thorough effectiveness review led by lawyer, Ms Kathryn Watt. The review included board With support of our Ambassadors, Sam Stynes (widow of AFL members assessing their own individual contributions as well as a legend Jim Stynes), Deborah Hutton, Dr Joanna McMillan and detailed consideration of the overall effectiveness of the Board. Brody Young over 1,200 people marched along The Esplanade at The Board was pleased with the results of this review. St Kilda beach to raise awareness of melanoma and skin cancer. A special thanks to the Victorian Melanoma Service, headed by Financial Performance Professor John Kelly and the Peter MacCallum Cancer Centre This year the Foundation incurred a loss of $136k. The loss was team headed by Professor Grant McArthur for their support. The the culmination of the reduction in several areas of sponsorship, event was a considerable success and raised over $86,000, which pathology joint venture income and in some areas of clinical has been applied to education and research. activity combined with significant resources devoted to accreditation. Governance Board members In January the Foundation conducted a detailed operational My sincere thanks to all Board members for their substantial review, resulting in streamlining clinic processes and reduction contribution to steering the future of the Foundation and in costs. Additional income generating activities have also personally supporting its activities. commenced and will be realised during 2013/2014.

Ms Jennifer Gale joined the Board during the year and has The review resulted in a much lower level of loss than would been appointed as the new Finance Committee Chair following otherwise be the case, and the Foundation is poised to return to the resignation of Mr Patrick Burroughs. Patrick has been an surplus in 2013/2014. outstanding supporter for many years through his financial advice and dedicated service to the Foundation. He continues to assist Our thanks to the senior management team for the conduct of the Foundation on the working group to settle the Pathology Joint this review and the action taken to turn around this short-term Venture arrangements, which fall due for renegotiation at the financial loss. end of 2013. Clinical activity It is pleasing to see the mix of senior, mid career and recently Patient services reduced during the year by 8 %. graduated Fellows who make up the Dermatologists on the Board. This balance of views, supported by the specialist expertise The Foundation is developing further surgical and other clinical of the 5 external members, is very important and highly valued. capabilities with the engagement of new Fellows and additional surgeons. Planning workshop The Board undertook a Planning Workshop in April 2012, led by Plans are also well underway to establish a Vitiligo clinic, led by Dr our Executive Director, Chris Arnold, to review progress and set a Adrian Mar in the second half of 2013. course for the following year.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 15 Registrar training Australasian Psoriasis Registry Congratulations to the 6 Trainees who all passed their exams and At the end of the year, there were 22 sites, 3 of which were in New became Fellows of the College in February 2013. Zealand, which demonstrates substantial growth over last year when we had 12 sites (2 in NZ). The APR now covers 811 patients in The Foundation is delighted to announce that funding has total, including 18 from New Zealand - which, again, represents a been approved for an Indigenous health registrar position to significant change from 629 patients at this time last year. commence in February 2015. There have been active discussions within the industry focused Outreach clinic on expanding support for the Registry and its work. In 2013, the Members will be aware of our monthly outreach clinic run by Dr Foundation will coordinate an industry-funded program to support Kamaldeep Sandhu, which continues to grow. This clinic provides data collection from all of the sites involved. The level of support general dermatology advice and treatment, minor surgery and will be determined by the contributions available each year. is complemented by skin cancer and psoriaisis treatment from a The Foundation also continues its active involvement in Foundation nurse using a mobile PUVA machine. international research with its effective collaboration and association with the PSONET group. GP education The Foundation partnered with Monash University to conduct a University of Melbourne inaugural Chair in Dermatology two day training program for GPs on dermoscopy and surgical The Foundation has strongly supported the establishment of The skills. Dr Alvin Chong coordinated the program, which is the first of University of Melbourne’s first full chair in Dermatology. We have a number of programs planned with Monash University. provided office space and administrative support within the Rotary Dermatology Research Centre, the opportunity for clinical The Foundation continues to provide other GP education directly and teaching sessions and support for research. through GP surgical workshops arranged by Dr Chong. The University is now seeking to fill this appointment. Research trials Through an agreement with international trials broker, Probity Sustainability Medical Research, the Foundation continues to expand in the The Foundation has been very active in pursuing an agenda area of clinical trials. designed to advance its sustainability over the long-term. Accreditation, day centre registration, health fund benefits, Under the leadership of our Research Director, Associate Professor expansion of research and increased collaboration with Peter Foley, the trials team now comprises Coordinator Christine universities are but a few examples. Veljanoski, 5 nurses and a medical practitioner, with a part time administrative support person. I would like to take this opportunity to thank our Executive Director Chris Arnold for his continued leadership and support of the Board The team is currently running 10 clinical trials. in this journey and also the dedicated senior management team, including Jane English, Catherine Bennett, Sue Edwards, Karli Expansion of support for research Fountain, Simon Cumming and Karin Morris. Establishment of combined clinical research fellowship In addition to funding the Florence and Eddington grants, the Board is pleased to advise that it has now established a fellowship Associate Professor Chris Baker for a young dermatologist to spend a day per week at the President Foundation undertaking a clinic for half a day, with the other half devoted to funded research time.

Grants This year the Board has also utilised funding to support three research projects. The first at the Victorian Melanoma Service, the second through the Dermatology Department of the Royal Melbourne Hospital and finally, within the Foundation’s own Research Division.

Priorities for 2013/2014

• Returning to surplus • Supporting registrar and IMG training, with success in Fellowship registration for all 10 Victorian final year students • Securing funding for an additional registrar for indigenous health • Completion of agreements for benefits with Health funds • Introduction of Vitiligo Clinic • Continuing to expand the base of Foundation funding • Welcoming and supporting the University of Melbourne Chair in Dermatology

16 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Participants in the Foundation’s March Against Melanoma, St Kilda foreshore, March 2013

the paul eddington scholarship

This Scholarship was established by the Skin & Cancer Foundation Inc to celebrate the memory of British actor Paul Eddington.

Paul’s rare skin condition was diagnosed and treated by us and, as a result of our role in his management, he became a strong supporter of the Foundation.

The Scholarship awards a grant to support newly qualified dermatologists obtain skills and experiences overseas that will enable them to benefit patients of the Foundation.

Paul Eddington was a debonair British actor who rose to fame for his role in The Good Life, a TV comedy series about a young couple living off the land, but in their backyard in suburban London.

In the 1980’s he was thrust into international stardom with the role he played of the inept British Government Minister, Jim Hacker, in Yes Minister and in 1986, Yes, Prime Minister.

He was enormously popular. Margaret Thatcher awarded him the CBE. It was reported that the then Australian Prime Minster, Malcolm Fraser, paused government meetings to watch episodes of Yes, Minister.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 17 from the executive director

Sustainability This special Silver Anniversary edition of our Annual Report reflects on what we have achieved over the last 25 years. I join the President in celebrating the success of this unique organisation. My report will focus on the next phase of the Foundation.

As the President outlined, the Foundation has set a clear course to increase and expand its revenue base, through accreditation, day centre registration and the ability to offer selected services to patients covered by their private health insurance. This will build activity and revenue.

We have added a second major annual event, the March Against Melanoma, with a potential third event to be introduced late in 2014. Each will generate a combination of awareness and fundraising to be used to expand our education and research.

The Foundation has also been active in expanding the Australasian Psoriasis Registry (APR) and increasing the level of industry support for its operation. Whilst support in 2012/20013 has been somewhat less than in years past, we must still thank our loyal sponsors for their continued support. Additional commitments have, and continue to be made to increase support. Chris Arnold Executive Director Biologics Masterclasses have been expanded, with several sessions conducted interstate. This is complemented by the identification of eight potential research papers to be drawn from APR data and international comparisons through our participation in PSONET. Two projects have already commenced and offers of support for other projects are being discussed.

Thanks to Dr Alvin Chong, who has joined the Foundation’s education team, our offerings in GP education are expanding and creating additional income in the process of providing much needed training for GPs in skin health.

Cost control has continued, with additional savings as a result of the January operations review. Following an Expression of Interest, the Foundation has decided to commence a new banking agreement, when then the current term concludes in October, with ANZ Private. This arrangement will see more competitive rates on the premises loan and a corporate partnership approach facilitating increased networking, sponsorship and other in kind support.

Finally, the Foundation is expanding its engagement with all sectors of the community to raise awareness, seek support and pursue the Foundation’s vision.

Activity and Finance It was disappointing to see an 8% reduction in clinical activity and an operating loss of $136K for the year. The accounts show an overall net profit for the year of $1.45Mil, due to the increase in the valuation of land and buildings.

A combination of tougher economic conditions reflected in sponsorship, reduced revenue from Melbourne Skin Pathology, substantial costs for air conditioning maintenance and major repair on the ground floor to tenancies and lower activity in several clinics were the principal causes.

The Foundation responded with cost containment measures and a drive for additional revenue. These measures are reflected in a lower than anticipated deficit result and a budget indicating a return to surplus for 2013/2014.

18 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Following a detailed review of IT requirements, phase one Registrar Training implementation will involve the Foundation’s systems moving to It is always a source of considerable joy to see our registrars using the Cloud, with consequential savings on hardware replacement the Foundation facilities, meeting with each other and learning and improved levels of service. from the large number of dermatologists and other clinicians who support training here. Revaluation of premises As required by audit, the Foundation’s land and buildings were I am delighted that many return, following registration as Fellows re-valued for the financial statements. The value has increased to join clinics to expand their experience, whilst contributing to by $1.743 mil to $10 million this year. The Foundation has also the ongoing sustainability of the Foundation. The Registrar to concluded a number of new and extended leases for tenants, Consultant Transition program also appears to be well supported. which adds certainty to our ongoing revenue. My personal thanks to the Australasian College of Dermatologists Accreditation, Day Centre Registration and Health Fund Victorian Faculty, with whom the Foundation continues to have a Benefits strong and mutually supportive relationship. I am sure that this, in The President has already reported on this work. The preparation, part, explains the success of Victorian registrars and international documentation and ongoing maintenance of these important medical graduate trainees in completing training and becoming initiatives required substantial resources. We utilised the services Fellows of the College. of some consultants during the past two years on this project. However much of the work was conducted internally, in particular Skin Gallery by our Clinical Operations Manager, Jane English. I thank her for A collaboration between Arts Access Victoria and the Foundation her very substantial contribution in these important areas. has produced a rolling, six-weekly exhibition of artwork opposite our clinical reception. Established artists, as well as emerging Teledermatology disabled artists, are displaying their work and livening up the Two years ago, the Federal Government introduced Medicare decor at the Foundation. benefits for rural and remote patients and aged care facilities for telehealth using videoconferencing. In spite of its value in dermatology, the take up has been low.

Conclusion Challenges will continue in 2013/2014 as we implement health fund benefits, a new banking agreement and negotiate a new pathology joint venture.

I would like to thank the President, Associate Professor Chris Baker, and the Board for their strong support and advice during the year.

More recently, on behalf of the Australasian College of To our Medical Director, Dr Mei Tam, Research Director, Dermatologists, Professor Peter Soyer and I have lodged a Associate Professor Peter Foley and ODREC Director, Associate submission with MSAC seeking benefits for Store & Forward only Professor Rosemary Nixon, thank you for the additional time and consultations (ie, excluding video conference). commitment you provide by taking on these important roles and for your valuable advice. This option is far more convenient for the patient, the referring GP, the dermatologist and the aged care facility. It is also To my senior management team, Jane English, Catherine Bennett, considerably less expensive. The application is likely to take a year Sue Edwards, Karli Fountain, Christine Veljanoski, Simon Cumming to be expertly assessed and finally determined by MSAC. and Karin Morris, thank you all for such a huge year, where each of you has taken on so many additional tasks so willingly. The Foundation has been an early adopter of videoconferencing The Foundation - and me personally – highly value your loyalty, consultations, although numbers have been small. Once support and hard work. available, the Foundation will be ready to participate effectively in this new method of teledermatology. This is an exciting time to be a part of the Foundation and I Iook forward to actively contributing to its future. Concurrently, we are also working with the Australasian College of Dermatologists to develop a structured education program on telehealth for registrars and other trainees. Chris Arnold Executive Director

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 19 representatives

our patron and board members

Governor of Victoria, The Honourable Alex Chernov, AO, QC Patron

A/Prof Chris Baker Chris Arnold A/Prof Peter Foley President Executive Director President to December 2012 Research Director

Dr Mei Tam A/Prof Rosemary Nixon Dr Michael Rich Medical Director & Chair Vice President Dermatologist of Credentialing & Quality Committee

20 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Dr Edward Upjohn Dr Hugh Roberts Miklos Pohl Dermatologist Dermatologist Plastic Surgeon

Jacqueline Phillips Andrew Farr Jennifer Gale Business Development Legal Member Finance Audit & Risk Management Committee Chair

A/Prof Greg Goodman Dr Johnathan Ng Dr Chris Jalilian Advisory Representative Registrar Representative Registrar Representative

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 21 representatives

our ambassadors

Dr Bertold Salomon Brodie Young John Calver-Jones International Skin Ambassador Healthy Skin Ambassador Business & Corporate Ambassador

Dr Catherine Gale Deborah Hutton Dr Johanna McMillan Emma Cam Professional Services Skin Healthy Skin Ambassador Healthy Skin Ambassador Healthy Skin Ambassador Ambassador

Luke Mitchell Michael Klim Vaughan Bonny Healthy Skin Ambassador Healthy Skin Ambassador Healthy Skin Ambassador

22 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Our Ambassadors provided great support at our White Night Gala Ball held in June at the Grand Hyatt in Melbourne, and at the March Against Melanoma held earlier in the year on the St Kilda beach foreshore.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 23 representatives

sub-committees foundation staff governance management Ms Kathryn Watt Mr Chris Arnold (Executive Director) A/Prof Peter Foley Ms Jane English (Clinic Operations Manger) Mr Andrew Farr Ms Sue Edwards (Patient & Customer Service Manager) A/Prof Chris Baker Ms Karli Fountain (Marketing Manager) Mr Chris Arnold Ms Christine Veljanoski (Trials Coordinator) Mr Simon Cumming (Data Manager) finance, audit and risk management Dr Michael Rich Dr Mei Mui Tam Mr Chris Arnold Mr Patrick Burroughs (till 30/11/12) Ms Jennifer Gale (from 1/12/12) melbourne skin pathology A/Prof Chris Baker A/Prof Peter Foley Mr David Pinkus Mr Chris Arnold quality and credentialing committee A/Prof Chris Baker (till 30/11/12) Dr Mei Mui Tam (from 1/12/12) Mr Chris Arnold Ms Angela Webb Ms Jane English Dr Tim Rutherford Dr Shoba Joseph Mr Simon Cumming

24 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 consultants aesthetics clinic hyperhidrosis clinic pdt A/Prof Greg Goodman Dr Vanessa Morgan Dr Kamaldeep Sandhu Dr Phil Bekhor Dr Kamaldeep Sandhu Dr Belinda Welsh psychology laser clinic Dr Sebastiana Biondo advanced surgery Dr Michael Rich Dr Adam Sheridan radiotherapy Mr Nigel Mann liaison clinic Dr Michael Webster Mr Miklos Pohl Dr Josie Yeatman Dr Mignon Moyle Ms Angela Webb Dr Melissa Thomas (Psychiatrist) Dr James Butler Mr John Beer Mr Ajay Chauban melanoma clinic skin cancer management Mr Raminder Dhillon Dr Diana Tran Dr Hugh Roberts Ms Natalie Ngan Dr Michael Rich Dr Michelle Rodrigues Mr Richard Barton Dr Claire Grills Mr Ramin Shayan men’s health Dr Michelle Goh Ms Namrata Anavekar Dr Anthony Hall Dr Mei Tam Mr Edmund Ek Dr Peter Sinclair mohs’ surgery Dr Rebecca Dunn biologics/phototherapy A/Prof Greg Goodman Dr Shyamalar Gunatheesan A/Prof Peter Foley Dr Edward Upjohn A/Prof Chris Baker Dr Tim Rutherford transplant Dr Anna Braue Dr Philip Bekhor Dr Alvin Chong Dr Shobha Joseph Dr Vanessa Morgan Dr Michelle Goh Dr Phillip Lane Dr Carol Burford Dr Kamaldeep Shandu nail clinic Dr Sarah Brennard Dr Anne Howard contact dermatitis clinic Dr Marguerite Seith As part of the registrar to consultant Dr Mei Mui Tam Dr Hope Dinh transition, the following new fellows have Dr Bruce Tate conducted private general dermatology occupational therapy sessions: grenz Dr Jenny Cahill Dr Kamaldeep Sandhu Dr Alfonso Perez Dr Michael Webster A/Prof Rosemary Nixon Dr Shyamalar Gunatheesan hair clinic oral mucous membrane clinic Consultant Radiation Oncologist, Dr Wes Dr Jack Green Dr Jonathon Tverskey Miles, has referred patients directly for Dr Jill Cargnello Dr Carol Burford radiotherapy treatment. Dr Alfonso Perez Dr Eric Poon Dr Alana Tuxen Dr Anita Lasocki

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 25 clinics

Foundation members, supported by plastic surgeons, an oral mucosal specialist, a psychiatrist and a psychologist provided in excess of 25,000 patient services. Training clinics are the essence of the future for dermatology as a profession.

We sincerely thank these dedicated specialists for their ongoing and strong support. In addition, we are appreciative of the excellent collaboration the Foundation enjoys with the Australasian College of Dermatologists, and its Victorian Faculty, in arranging registrar and international trainee placements.

During the year, surgery conducted at the Foundation increased (Mohs’ $34k and Advanced Surgery $60k). The Foundation has been fortunate to secure the services of several new plastic surgeons, including Ajay Chauhan, John Beer and Ramin Shayan. These additional surgical sessions have been reflected in the increased number of patients treated compared to the last financial year.

Members will recall that, for many years, Professor Robin Marks conducted not one, but two clinics each week. His departure has affected the number of patient services provided last year.

Nevertheless, with the assistance of Dr’s Hugh Roberts, Clair Grills, Lloyd Hale, Peter Sinclair and Rebecca Dunn, the growth in the number of services provided has been reaching towards that of the previous year. Nevertheless, total activity for the year was 8% down on the previous year. The decrease was primarily related to the reduction in skin cancer management clinics.

All our planning indicates that we will extend the number of sessions in 2013/2014, particularly following the registration of additional new Fellows in early 2014. This clinic is important as skin cancer management is a fundamental basic for training dermatology registrars.

Dr James Butler Jim Butler has been an outstanding contributor to the Foundation; as a founding member, board member and active clinician in the Radiotherapy clinic. This year, Jim retired from the Foundation Radiotherapy clinic. Mr Michael Webster continues to steer the clinic.

The Board would like to pay tribute to Dr Butler for his contribution over the 25 year life of the Foundation and wish him well for the future.

We would also like to thank Dr Mignon Moyle for her services to the Radiology Clinic. Dr Moyle resigned from the clinic during the year.

Accreditation and Day Centre registration Sincere thanks to the Foundation team for securing ISO 9001 and NHQS Quality Standards accreditation. Special thanks to Jane English for leading the clinical team.

As a centre of excellence, accreditation represents an important message to the community. Concomitant with accreditation is an increase in monitoring of activities and reviewing adherence to standards through internal audits. These audits are then discussed at the Credentialing & Quality Committee, the Board and then feedback provided to staff.

Day Centre registration will be completed early this coming year.

Credentialing & Quality Committee The Committee comprises Angela Webb, Tim Rutherford, Mei Tam, Shobha Joseph, Jane English, Chris Arnold and Simon Cumming. Thank you to Assoc Prof Chris Baker, now President, as inaugural chair of the Credentialing and Quality Committee and also for his leadership as Medical Director until last November.

Dr Mei Tam Medical Director

26 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Priorities for 2013/2014

• Obtain Day Centre registration • Successful negotiation of Health fund contracts • Commencement of Vitiligo clinic • Expansion of clinical activity by 5-10%

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 27 education

The Foundation’ s education offerings continue to expand

Registrars The Foundation is home for all Victorian registrars. Our dedicated facility, library and support services are available at all times for all registrars, IMGs and visiting trainees.

2013 was an excellent year for both Foundation-funded and all other Victorian registrars. All six successfully completed their Fellowship exams to become Fellows of the College in February 2013. The Foundation congratulates the trainees and is delighted to see a number of them participating in Foundation clinics.

Seminar Program The Foundation wishes to thank guest presenters, members and pathologists from Melbourne Skin Pathology for supporting the regular education sessions, Skin Schools Update meetings, Clinical Update meetings (on behalf of the Victorian Faculty) and Dermopatholgy tutorials. Our sincere thanks to our sponsors for their valued support for this education program.

In addition, the Foundation has continued its three evening program for final year trainees Transition to Private Practice, which has been well supported by members and certainly appreciated by the trainees.

GP training Our thanks to Dr Alvin Chong for the expansion of GP training during the year. Dr Chong and the Executive Director have negotiated with Monash University to produce a two day surgical skills workshop program.

These workshops were only possible with the support and contribution of members and registrars. The program was so successful that two workshops will be planned for 2014.

Other surgical workshops were provided directly by the Foundation and arranged with the support of members, by Dr Chong.

University of Melbourne Chair in Dermatology The Foundation is pleased to support the establishment of this new chair, with facilities, office, administrative assistance and the opportunity for teaching and research. We hope that anointment will made in the near future.

Nurse Education Jane English has continued to arrange dermatology nurse education sessions, available to Foundation and external nurses. Thank you to members and guest speakers for their support.

Biologic Masterclasses As the President noted in his report, the Foundation has expanded its biologics education master classes, which included conducting two interstate programs this year. Our thanks to Associate Professor Peter Foley, Ms Barbara Rudalski and Ms Sue Anderson for coordinating and running this valuable national program.

Community Education The Foundation continues to develop and expand on the information we publish on skin health. Our Healthy Skin App for iPhones and Androids is also complemented by a small handy guide for skin health.

This year the Foundation launched the March Against Melanoma as a targeted campaign to draw public attention to the need for prevention and early detection of Melanoma and skin cancer. Our thanks to all those who participated in the march and the associated campaign. The March Against Melanoma will be a regular event in the Foundation’s annual community education program.

Our ambassador, Dr Jo McMillan, has produced a Nutritionist GED for skin health directed to sufferers of Psoriasis. Our thanks to Jo who is currently working on an e-book addressing general skin health nutrition.

The National Healthy Skin Awards round off the Foundation’s program to raise awareness , supported by its Corporate Skin Check program conducted by ODREC Director, Associate Professor Rosemary Nixon.

28 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Priorities for 2013/2014

• Secure an additional registrar position for indigenous health • Expand line education material and update website • Continue Biologic Masterclasses • Expand corporate and organisational awareness of healthy skin • Prevention of skin cancer

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 29 research

The Foundation has expanded its research efforts in several ways this year. These have included clinical trials, research emanating from the Australasian Psoriasis Registry (APR), ODREC research, the establishment of a part-time research fellow position and funding for Foundation and external research in dermatology.

Associate Professor Rosemary Nixon has provided an excellent report on ODREC activities elsewhere in this Annual report.

Clinical trials We have continued to expand the number of retrials and the participant numbers within those trials.

Obtaining sufficient numbers for trials is sometimes difficult. The Foundation wishes to acknowledge the assistance of Clinical Trials Connect (CTC ) in this process. CTC’s on line recruitment tool provides screening to streamline selection processes.

Most trials arrive via our international collaboration with trials Broker PMR. Our Trials Coordinator, Christine Veljanoski, has continued to develop the team, and to produce a comprehensive range of updated Trials Standard Operating Procedures. The combination has streamlined trial work and provided a solid basis for accreditation success.

My thanks to Christine and the trials team for their excellent contribution.

Australasian Psoriasis Registry The APR is a valuable resource for the sites contributing and now, the research emanating from its data. Over eight research papers have been identified. The Foundation has commenced two and is currently seeking support to undertake additional papers.

The APR also secures considerable benefits through the Foundation’s participation in PSONET (an international psoriasis database group based in Europe). The relationship gives us the ability to conduct international comparisons.

Funding for Research This year, the Board of the Skin & Cancer Foundation Inc has created a part-time fellowship for a young dermatologist to work on their chosen research for a year . The grant is open annually.

In addition, we have also provided research grants to: • Department of Dermatology, St Vincent’s Hospital • Victorian Melanoma Unit • Department of Dermatology, Royal Melbourne Hospital; and • the Foundation’s Research team

Associate Professor Peter Foley Research Director

Priorities for 2013/2014

• Welcome new Chair in Dermatology at the University of Melbourne • Expand APR research papers program • Increase trials by 10% in value terms

30 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 radiotherapy

Radiotherapy has a cure rate equal to that of surgery and is often the treatment of choice when surgery is difficult, or not suitable, because of other medical conditions.

Radiotherapy (or Radiation Therapy) is used for the treatment of most types of skin cancer. It involves the use of high energy x-rays focused on the area to be treated.

These x-rays are similar to those used in diagnostic x-rays, except they are slightly stronger and more focussed. Shielding is used to protect areas that do not require treatment.

Treatment is not limited to skin cancers. A number of other conditions can be treated with radiotherapy, including • Bowen’s Disease • Kaposi’s Sarcoma • Keloid Scars • Mycosis Fungoides

Dermatologists should not hesitate to refer their patients for radiotherapy treatment at the Foundation. There are virtually no waiting lists so appointments can be arranged promptly.

Patient care is of utmost importance at the Skin and Cancer Foundation Inc’s Radiotherapy Department. Our service is therefore of the highest standard, delivered in a caring and friendly environment.

Call the unit on (03) 9603 9400 for more information.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 31 occupational dermatology research and education centre

It has been another successful year for ODREC, the small occupational dermatology research group whose staff also run the Foundation’s Occupational Dermatology Clinic. Our research is primarily directed by the clinic patients that we see, making our research very clinically relevant.

Allergic Contact Dermatitis Epidemic In 2012-13, a major epidemic in allergic contact dermatitis has occurred to the preservative methylisothiazolinone (MI). Dermatology registrar Dr Ann Boyapati compiled and published a case series of patients with hand dermatitis, who had attended either the Occupational Dermatology Clinic or the Contact Dermatitis Clinic, run by Drs Bruce Tate and Mei Tam. The patients were exposed to MI largely from baby wipes, however other sources included deodorants, moisturizers, hand and body cleansers, sunscreens and make-up remover wipes. Currently, an astonishing 10% of all clinic attendees have been found to be allergic to MI this year!

Contact Allergen Bank Our Contact Allergen Bank has gone from strength to strength. Dermatologists from around Australia request the supply of specific patch tests for particular patients, especially when they do not have access to uncommon allergens. There are approximately 70 registered dermatologist users of the Contact Allergen Bank and patch tests were supplied to approximately 100 patients in 2012-2013. Thanks to researcher, clinic nurse co-coordinator and database manager Mandy Palmer again for all her work in facilitating the Bank, together with our wonderful administration person Allison Muis. Thanks also to Sue Byers for assisting us and we were sorry to see Sue finish up at the Foundation in September 2013.

Staff and Research Fellows Permanent part-time employees Mandy Palmer and Dr Jenny Cahill have continued to make a tremendous contribution to ODREC over the last year and I thank them for their efforts and their support.

In addition, our research fellows have been most impressive. These have included Dr Sarah Gamboni to August 2012; Dr Sarah Hannam from October 2012 to January 2013 prior to starting as SCF Resident and Dr Ryan Toholka from February 2013. Former research fellow Dr Georgina Lyons was successful in obtaining a dermatology training position, as was Dr Friyana Bhaba who also co-authored papers with us. Other collaborators have included Drs Ann Boyapati, Qunyh Le, Claire Sheeran, Stephanie Tan, Stephanie Tizi, dermatologist Dr Liz Chow from Liverpool Hospital, NSW and epidemiologist Dr Tessa Keegel, who previously worked at ODREC. In 2014, Drs Gamboni, Hannam, Tan and Tizi will all commence dermatology training.

Website Our website, www.occderm.asn.au had 56,650 hits from 1 July 2012 to 30 June 2013! Top 5 countries accessing the site were USA, Australia, UK, Canada and India.

Journal Club ODREC organised a Journal Club in contact dermatitis approximately bi-monthly in 2012-13 and also contributed to the Contact Dermatitis Session at the Annual Scientific Meeting of the Australasian College of Dermatologists in May. Speakers included Dr Mei Tam, myself, registrar Drs Georgina Lyons, and researchers Drs Ryan Toholka, Danit Maor, Sarah Hannam and Stephanie Tizi, who was awarded the John Fewings prize for the best speaker, in memory of our former contact dermatitis colleague John.

Visitors We have hosted a steady stream of visitors to the Occupational Dermatology Clinic including interstate dermatologist Dr Rachael Gliddon; South Australian dermatology registrars; overseas visitors including Dr Sarah Tan from the Phillipines and Dr Harneet Ranu from Singapore as well as many elective students.

32 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 ICDRG Associate Professor Rosemary Nixon continues as a member of the International Contact Dermatitis Research Group (ICDRG) and was an invited speaker at the Occupational and Environmental Exposure of the Skin to Chemicals meeting in Amsterdam in June 2013. Future invitations include the Asia-Pacific Environmental and Occupational Dermatology Symposium in Yogyakarta in October 2013, the European Society of Contact Dermatitis meeting in Barcelona in 2014, International Congress of Occupational Health in Seoul and the World Congress of Dermatology in Vancouver in 2015.

Funding While the Occupational Dermatology Clinic is a clinic of the Foundation, ODREC is an entirely self-supporting research group within the Foundation, and made a small profit again this financial year. Funding comes from a variety of sources, although we have been extremely sad to lose our long term supporter Epiderm from the Australian College of Dermatologists, who have ceased funding research projects. We thank them for their support over many years. National occupational health and safety organisation, Safe Work Australia, has recently supported a project on the factors leading to occupational contact dermatitis, while we have also been funded for a study on chromate and rubber allergy by the Australasian Faculty of Occupational and Environmental Medicine (Royal Australian College of Physicians). Other funding sources include revenue from our Contact Allergen Bank, corporate skin checks, medico-legal assessments, consulting and finally donations. Corporate skin check clients this year have included King Wood Mallesons, Macquarie, Hospira, Medway Golf Course, McCann Foods and the RSL. Since 2007, Associate Professor Nixon has donated 1-2 days of her time to research each week.

A number of journal articles and book chapters were published in 2012-2013; wqhich can be found under publications and presentations.

Associate Professor Rosemary Nixon Vice President

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 33 25 years of contact dermatitis

The Contact Dermatitis Clinic was one of the very first clinics at the Foundation, commencing in October 1987.

Dermatologist Greg Goodman suggested to then dermatology registrar Rosemary Nixon that she should start the clinic on her own, although at the time Rosemary had not even articulated an interest in contact dermatitis! In those days, if you were unsuccessful in the exams, you just completed your three years as a dermatology registrar and then supported yourself by doing locums and hospital work until you eventually passed. It perhaps seems a bit surprising these days, but that’s how it worked then.

Initially, Rosemary saw the patients on her Friday morning off, patches were then applied by nurse, and inaugural Skin and Cancer Foundation manager, Terri George, and the patients were reviewed after 72 hours on Monday lunchtimes between her other clinics. In 1988, she continued to patch test on Friday mornings and Monday afternoons.

In 1989, Rosemary visited St John’s Hospital in London to gain more experience, particularly in the area of occupational dermatology with Dr Richard Rycroft. On her return, she continued working in the Contact Dermatitis Clinic, instigating the Monday-Wednesday-Friday patch testing format. In 1990, she was successful A/Prof Rosemary Nixon in receiving some research funding from what was then called the National Vice President Occupational Health and Safety Commission, now Safe Work Australia, and Kath Frowen was employed as a research nurse. In 1991, after the Foundation moved to its Brunswick Street incarnation, Kath was appointed as a patch test nurse. Of course, nurses have always played a hugely important role in the patch test clinic working closely with dermatologists, and as well as Terri George, other nurses in the early days included Maureen, Therese and Rhonda.

During the summers of 1990-1 and 1991-2, sunscreen intolerance was a particular problem and special sunscreen patch and photopatch testing clinics were convened. This problem noticeably declined once physical sunscreens were added to the chemical sunscreening agents.

In 1992, Rosemary took maternity leave and Dr Jeremy Horton, who had also spent time at St John’s, took over running the Contact Dermatitis Clinic. In 1993, Rosemary started the Occupational Dermatology Clinic at Monash Medical Centre and Jeremy continued running the Contact Dermatitis Clinic until 1997. Dr Margaret Oziemski also ran a Contact Dermatitis Clinic in 1994 and 1995, prior to spending time in London at both St John’s which was now located at St Thomas’ in 1996. She moved to Brisbane in 1997.

Dr Bruce Tate started monthly patch test clinics in 1996 and has been at the Foundation ever since - for over seventeen years! Rosemary had heard that Bruce had done a PhD in immunology prior to studying dermatology, mentioned to him that contact dermatology was indeed applied immunology- sowing the seed in his mind to develop a subspecialty interest in contact dermatitis. This was further nurtured by a registrar teaching session given by Perth dermatologist Leon Wall, on a visit to Melbourne.

Bruce’s passion for laboratory research had burnt out, but part of his learning of the craft occurred by putting together a comprehensive set of patient information sheets on key allergens, which have been a successful tool for the Foundation in helping navigate patients through the complexity of their allergy testing. These are currently being updated and simplified by Dr Jenny Cahill. With funding from Schering Plough, he also co-wrote a pamphlet on plant contact reactions with

34 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Michelle Adler, an academic botanist which was distributed to Many of the clinics’ achievements are intertwined with those of dermatologists and allergists. In 2007, a large case series on tea tree ODREC. Kath and Rosemary established the CAMS® database oil allergy was published, together with Dr Tim Rutherford. and clinic management tool while at Monash, so patch test data has been recorded from the Occupational Dermatology Clinic Dr John Fewings started patch testing in 1997 and spent six months since 1993. The Skin & Cancer Foundation Inc Contact Clinic in Copenhagen in 1998, working with Professor Torkil Menne. data was added from 2001. Visiting Thai dermatologist Dr Praneet Unfortunately John died suddenly in 2002. The Foundation honours Sajjachareonpong assisted greatly with data entry in 2002-3, while his memory each year with the John Fewings Memorial Prize at the visiting Singaporean dermatologist, Dr Yishi Wang, helped with Australasian College of Dermatologists’ Annual Scientific Meeting the identification of appropriate local allergens for the first ever for the best talk in the Contact Dermatitis session. Australian Baseline Series in 2009.

Dr Mei Tam started her monthly clinic in 1999 which has also In 2011, Patchcams was developed by Mandy Palmer and IT expert continued to this day, and has currently chalked up fourteen years Lesley Kennedy. Patchcams is a web-based version of the clinic of continuous service. tool and database, and it has been incredibly successful.

In 2001, Rosemary received some research funding and decided Also in 2011, the Contact Allergen Bank was established at to transfer the fortnightly Occupational Dermatology Clinic from the Foundation. Based on a Danish model, our nurses prepare Monash to the Foundation, and to also establish a small research individualised patch tests for patients which are posted out for group, the Occupational Dermatology Research and Education dermatologists to apply. This has greatly facilitated patch testing Centre (ODREC). Kath Frowen was still in charge of patch testing for dermatologists, being particularly helpful for those in rural and at the Contact Dermatitis Clinic, but resigned to take on more remote areas or when unusual or rare allergens are needed for research duties in 2002, although she continued being in charge of testing. patch testing in the Occupational Dermatology Clinic. Dr Wei Lim became the first ever Australian trained dermatologist Nurses who played a big role in the first decade of patch testing and allergist, and has established a patch test clinic at The Alfred in also included Margaret Pardon and Peggy Butt, and radiotherapist 2012, which Dr Emma Hiscutt has recently joined. Robin Smale often helped out as well, especially when the CAMS® computer-based patch testing clinic tool was introduced and it The patch testers have also formed a strong relationship with Dr was helpful to have someone load details into the computer. Jonathon Tversky, who has worked at the Oral Mucosal Clinic at the Foundation since 1987. Jonathan has referred many patients In 2003, Amanda Palmer was employed at ODREC with a with oral lichen planus for patch testing and surprisingly many background in both nursing and health promotion, and also assisted relevant allergens have been found, culminating in the publication with patch testing at the Occupational Dermatology Clinic. of the largest series of spearmint induced oral lichen planus ever published, together with Dr Shyamalar Gunatheesen. In 2007 Kath left to continue running the patch test clinic at Monash Medical Centre, and more recently has established a new patch With the retirement of renowned contact dermatologist Dr Susi test clinic at The Alfred. Mandy took over as the nurse in charge of Freeman from the Skin and Cancer Foundation Australia (Sydney, the Occupational Dermatology Clinic, while nurses at the Contact NSW) in 2009, together with the emergence of local enthusiastic Dermatitis Clinic in the last decade have included Barb Ashton, patch testers mentored by Rosemary, and aided by the success of Trish Coleman, Beth Bolger, Sue Byers, Suzette Foster and Noelene the database, Melbourne has become the epicentre of contact Gresswell, with Jane English always around to help out as needed. dermatitis in Australia. Rosemary is the spokesperson for the College on issues of contact dermatitis and her group has published over 100 In 2005 Dr Adriene Lee joined the Occupational Dermatology Clinic scientific papers. The database now includes some 8000 patients. for two years prior to concentrating on running weekly patch test clinics at Monash Medical Centre, and then Dr Helen Saunders As in many other areas of dermatology in Melbourne, the joined the team in 2006 until maternity leave supervened in 2009. Foundation is the home for contact dermatologists and nurses, who meet regularly for Journal Clubs to discuss interesting cases Overseas visitors who have participated in the clinic have included and research projects. Dr Jason Williams from UK (2005-7) and Dr Danny Slodownik from Israel (2006-7). Dr Jenny Cahill joined the Occupational We look forward to the next 25 years of patch testing at the Dermatology Clinic in 2010 for a monthly clinic, combined with Foundation! Rosemary. Adriene, Helen and Jenny have all worked as research fellows with ODREC. Associate Professor Rosemary Nixon

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 35 publications and presentations

Associate Professor Chris Baker Publications

2013 Baker CS, Foley PA, Braue A. Psoriasis uncovered - measuring burden of disease impact in a survey of Australians with psoriasis. Australas J Dermatol. 54 Suppl 1:1-6, 2013

2013 Mahar P, Foley P, Sheed-Finck A, Baker C. Legal considerations of consent and privacy in the context of clinical photography in Australian medical practice. The Medical Journal of Australia. 198:48-9, 2013

2013 Baker C, Cooper A, Chan J, Fischer G, Soyer P, Shumack S, Sidhu S, Wu J, Nash P, Rawlin M, Radulski B, Foley P. Treatment goals for moderate to severe psoriasis: An Australian consensus. Australas J Dermatol. 54: 148-54, 2013

2013 Tan E, Baker C, Foley P. Weight gain and tumour necrosis factor-alpha inhibitors in patients with psoriasis. Australas J Dermatol. In Press, 2013

2013 Mahar P, Baker C, Mar A, Foley P. Protecting the role of clinical photography in dermatology. Australas J Dermatol. 2013 Aug;54(3):238-9

2013 Dwyer K, Webb A, Furniss H, Anjou K, Gibbs-Dwyer J, McCombe D, Grinsell D, Dickinson G, Williams R, Russell P, Scott D, Baker C, Vogrin S, Langham R, Opdam H, Morrison W. First hand transplant procedure in Australia: outcome at 2 years. Med J Aust 2013; 199 (4): 285-287.

2013 Li J, Chong AH, Green J, Kelly R, Baker C. Mycophenolate use in dermatology: A clinical audit. Australas J Dermatol. 2013 Apr 10. doi: 10.1111/ajd.12042.

2012 Ormerod AD, Augustin M, Baker C, Chosidow O, Cohen AD, Dam TN, Garcia-Doval I, Lecluse LL, Schmitt-Egenolf M, Spuls PI, Watson KD, Naldi L. Challenges for synthesising data in a network of registries for systemic psoriasis therapies. Dermatology. 2012;224(3):236-43. Epub 2012 Jun 1.

Poster Presentations

2013 Baker CS, Foley PA, Braue A. Psoriasis uncovered - measuring burden of disease impact in a survey of Australians with psoriasis. Presented at Psoriasis 2013. 4th Congress of the Psoriasis International Network. Paris July 2013.

Presentations

2013 Baker C. Photodermatoses Down Under. 14th Annual Photodermatology Session, European Society for Photodermatology Symposium. At the European Academy of Dermatology and Venereology meeting. Istanbul October 2013

2013 Baker C. Side effects of Guidelines. Clinical guidelines and recommendations for psoriasis treatment. Psoriasis 2013. 4th Congress of the Psoriasis International Network. Paris July 2013.

2013 Baker C. Rubel D. Cook D. Bird P. Challenges in Psoriaisis Therapy. Australasian College of Dermatologists Annual Scientific Meeting. Sydney May 2013

2013 Baker C. Managing biologics therapies in psoriasis. Australasian Dermatology Nurses Association annual meeting. Sydney May 2013

Associate Professor Peter Foley Publications

2013 Baker CS, Foley PA, Braue A. Psoriasis uncovered - measuring burden of disease impact in a survey of Australians with psoriasis. Australas J Dermatol. 54 Suppl 1:1-6, 2013

2013 Mahar P, Foley P, Sheed-Finck A, Baker C. Legal considerations of consent and privacy in the context of clinical photography in Australian medical practice. The Medical Journal of Australia. 198:48-9, 2013

2013 Baker C, Cooper A, Chan J, Fischer G, Soyer P, Shumack S, Sidhu S, Wu J, Nash P, Rawlin M, Radulski B, Foley P. Treatment goals for moderate to severe psoriasis: An Australian consensus. Australas J Dermatol. 54: 148-54, 2013

2013 Tan E, Baker C, Foley P. Weight gain and tumour necrosis factor-alpha inhibitors in patients with psoriasis. Australas J Dermatol. In Press, 2013

36 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 2013 Mahar P, Baker C, Mar A, Foley P. Protecting the role of clinical photography in dermatology. Australas J Dermatol. 2013 Aug;54(3):238-9

Associate Professor Greg Goodman Publications

2013 Sebaratnam DF, Lim AC, Lowe PM,Goodman GJ,BekhorP,Richards S, 2013. Lasers and laser-like devices: Part two. Australiasian Journal of Dermatology, DOI:10.1111/ajd.12111. In Press.

2013 Stewart N, Lim AC, Lowe PM, Goodman G, 2013. Lasers and laser-like devices: Part one. Australasian Journal of Dermatology, DOI: 10.1111/ajd.12034.

2012 Goodman G, 2012. Duckless Lips: How to Rejuvenate the Older Lip Naturally and Appropriately. Cosmet. Dermatol, 25:276-283.

2012 Goodman GJ, 2012. The Masseters and Their Treatment with Botulinum Toxin. In A. Carruthers and J. Carruthers (Eds.), Botulinum Toxin, Third Edition (A Volume in the Procedures in Cosmetic Surgery Series) (Chapter 20). Saunders.

2012 Weiss AS, Goodman GJ, Lowe P, Lowe NJ, 2012. New and Novel Fillers. In A. Carruthers and J. Carruthers (Eds.), Soft Tissue Augmentation, Third Edition (A Volume in the Procedures in Cosmetic Surgery Series) (Chapter 9). Saunders.

2012 Goodman GJ, 2012. Treating Scars: Addressing Surface, Volume and Movement to Optimize Results: Part 1. Mild Grades of Scarring. Dermatologic Surgery,DOI: 10.1111/j.1524-4725.2012.02434.x

2012 Goodman GJ, 2012. Treating Scars: Addressing Surface, Volume and Movement to Optimize Results: Part 2. More Severe Grades of Scarring. Dermatologic Surgery,DOI: 10.1111/j.1524-4725.2012.02439.x

2012 Goodman GJ, Morgan VA, Rutherford TJ, Upjohn EJ & Salmon PJM, 2012. International Perspective of Mohs Micrographic Surgery: Australia and New Zealand. In K. Nauri (Ed), Mohs Micrographic Surgery (pp.509-518).

2012 Goodman GJ, Halstead MB, Rogers JD, Borzillo D, Ryan E, Riley N and Wlodarczyk J, 2012. A software program designed to educate patients on age-related skin changes of facial and exposed extrafacial regions: the results of a validation study. Clinical, Cosmetic and Investigational Dermatology,5:23–31.

Dr Alvin Chong Publications

2013 Ng JC, Cumming S, Leung V, Chong AH. Accrual of non-melanoma skin cancer in renal-transplant recipients: Experience of a Victorian tertiary referral institution. Australas J Dermatol. 2013 Jun 28. doi: 10.1111/ajd.12072. [Epub ahead of print]

2013 Li J, Chong AH, O’Keefe R, Johnson PDR. The fish tank strikes again – Metachronous nontuberculous mycobacterial skin infection in an immunosuppressed host. Aust. J. Dermatol. 2013 Aug 29. doi: 10.1111/ajd.12094. [Epub ahead of print]

2013 Li J, Chong AH, Green J, Kelly R, Baker C. Mycophenolate use in dermatology: A Clinical Audit. Australas. J. Dermatol. 20131 April 10. Doi: 10.111/ajd.12042 [Epub ahead of print]

ORDEC Publications (Journals)

2013 Gamboni SE, Nixon RL. Allergic contact stomatitis to dodecyl gallate and a review of the relevance of positive patch test results to gallates. Australas J Dermatol 54: 213-7.

2013 Lyons G, Roberts H, Palmer A, Matheson M, Nixon R. Hairdressers presenting to an occupational clinic in Melbourne, Australia. Contact Dermatitis 2013; 68: 300-306.

2013 Hannam S and Nixon R. How to Treat: Occupational contact dermatitis. Australian Doctor, 26 April 2013.

2013 Boyapati A, Tate B, Tam M, Nixon R. Allergic contact dermatitis from methylisothiazolinone: exposure from baby wipes causing hand dermatitis in carers Australasian J Dermatol May 29. doi: 10.1111/ajd.12062. [Epub ahead of print]

2013 Stefaniaks A, Du Pleiss J, John SM, Eloff F, Agner T, Chou T-C, Nixon R, Steiner M, Kudla I, Holness L.Guidelines for the in vivo assessment of skin properties in workplace settings: Part 1 Skin pH. Skin Research and Technology;19:59-68.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 37 publications and presentations

2013 Du Pleiss J Stefaniak A, Eloff F, Kudla I, Steiner M, Agner T, John S, Holness L, Nixon R., Chou T.Guidelines for the in vivo assessment of skin properties in workplace settings: Part 2: Transepidermal water loss and skin hydration. Skin Research and Technology Published online: 19 JAN 2013 DOI: 10.1111/srt.12037

2013 Christensson JB, Andersen KE, Bruze M, Johansen JD, Garcia-Bravo B, Gimenez Arnau A, Goh CL, Nixon R, White IR. An international multicenter study on the allergenic activity of air oxidised R-limonene. Contact Dermatitis 68:214-23.

2013 Lyons G, Nixon, R. Allergic contact dermatitis to acrylates in ECG monitoring electrodes. Australas J Dermatol 54: 39-40.

2013 Chow EC, Avolio AM, Freeman S, Konya J, Lee A, Sullivan J, Tate B, Tam M, Nixon R. Frequency of positive patch tests to preservatives: the Australian experience. Australas J Dermatol; 54: 31-35

2013 Gamboni SE, Simmons I, Palmer A, Nixon RL. Allergic contact dermatitis to indium in jewellery, detected through the use of the Contact Allergen Bank Australia. Australas J Dermatol; 54:139-40

2013 Holness DL, Beaton D, Harniman E, DeKoven J, Skotnicki-Grant S, Nixon R, Switzer-McIntyre S. Hand and upper extremity function in workers with hand dermatitis. Dermatitis 24: 131-6.

2013 Gamboni SE, Allen KJ and Nixon RL. Infant feeding, eczema and food allergies: A practical guide for dermatologists. Australas J Dermatol 54: 85-89

2012 Christensson JB, Andersen KE, Bruze M, Johansen JD, Garcia-Bravo B, Gimenez Arnau A, Goh CL, Nixon R, White IR. Air oxidised linalool- a frequent cause of fragrance contact allergy. Contact Dermatitis 67: 247-59.

2012 Keegel T, MacFarlane E, Nixon RL, LaMontagne AD. Provision of control measures for exposure of the hands to wet-working conditions in Australian workplaces. Int Archives Occ Health 2012; 18: 313-19.

2012 Lyons G, Keegel T, Palmer A, Cahill J, Nixon R. Occupational dermatitis in hairdressers: do they claim workers’ compensation? Contact Dermatitis 2012; 68:163-168

2012 Bhahba F, Palmer A, Nixon R. Are reusable rubber gloves associated with latex allergy? Contact Dermatitis 2012; 67: 381-2

2012 Pan Y, Nixon R. Allergic contact dermatitis to topical preparations of bufexamac. Australas J Dermatol 2012; 53:201-10.

2012 Gunatheesen S, Tam M, Tate B, Palmer A, Nixon R. Retrospective study of oral lichen planus and allergy to spearmint oil Australas J Dermatol 2012: 55:224-228

Publications (Book Chapters)

2013 Hannam S, Webster M, Nixon R. Treatment of hand dermatitis with Grenz ray. In Hand Eczema ed Maibach, Lachapelle. Springer

2013 Nixon R and Diepgen T. Allergic contact dermatitis in Middleton’s Textbook of Allergy. Springer 2013

2013 Allergic contact dermatitis and photoallergy. In Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I. Eds Treatment of Skin Disease. Comprehensive therapeutic strategies. 3rd Edition. Springer 2013

2012 Sim M, Tan S, Nixon R. Malignant neoplasms of the skin. In “Occupational Cancers”. Eds Sisko Anttila, Paolo Boffetta, Kurt Straif. Springer 2012

2012 Nixon R, Cahill J and Jolanki, R. Epoxy resins. In “Kanerva’s Occupational Skin Diseases”. Eds Thomas Rustomeyer, Peter Elsner, Swen Malte John, Howard Maibach. Springer 2012

2012 Nixon R, Cahill J and Jolanki, R. Polyester resins. In Kanerva’s Occupational Skin Diseases”. Eds Thomas Rustomeyer, Peter Elsner, Swen Malte John, Howard Maibach. Springer 2012

Ms Barbara Radulski Publications

2013 Treatment Goals for moderate to severe psoriasis: An Australian consensus, Australian Journal of Dermatology, 2013, Baker C, Mack A, Cooper A, Fischer G, Shumack S, Sidhu S, Soyer P, Wu J, Chan J, Nash P, Rawlin M, Radulski B, Foley P

2013 Treatment Goals for moderate to severe psoriasis: An Australian consensus, Australian Nursing Journal, May 2013, Radulski B.

2013 Psoriasis The Emotional Impact, patient information booklet, Revised edition, P Foley, Radulski B.

38 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 Presentations

2013 August 2013, Tools to assess psoriasis and psoriatic arthritis, Inner Circle Meeting for Nurses, Sydney, NSW

2013 July 2013, International Psoriasis Council Preceptorship Program, Melbourne

2013 June 2013, Psoriasis patient education tools, Derm Connect International Specialist Nurse Group, Barcelona, Spain

2013 May 2013, Psoriasis Masterclass Preceptorship Program, SCF, Victoria

2013 May 2013, Skin School, Biologic Therapies for Psoriasis, SCF, Victoria

2013 April 2013, Psoriasis Masterclass Preceptorship Program, Brisbane, QLD

2013 March 2013, Psoriasis Masterclass Preceptorship Program, SCF, Victoria

2012 November 2012, Psoriasis Masterclass Preceptorship Program, SCF, Victoria

2012 September 2012, Psoriasis Masterclass Preceptorship Program, SCF, Victoria

2012 September 2012, Tools and Tips for Nursing Management of Moderate to Severe Plaque Psoriasis, Derm Connect International Steering Group, London, England

2012 December 2012, Psoriasis Comorbidities, Derm Connect International Specialist Nurse Group, Paris, France

2012 August 2012, Systemic Therapies for Psoriasis and PBS Eligibility, Registrars Training Day, Progress and Promise Conference, Sydney, Australia

Poster Presentations

2013 The effect of biologic treatment and body mass index in chronic plaque psoriasis patients, J. Yee, B. Radulski, G. Varigos, A. Braue, May 2013

2013 Assessment of cardiovascular risk in biologics patients with moderate to severe plaque psoriasis, J. Yee, B. Radulski, G.Varigos, A. Braue, May 2013

Susan Anderson RN Presentations

2013 Inner Circle - an educational, interactive and informative meeting for Gastroenterology, Rheumatology and Dermatology Nurses. Member steering committee and expert nursing panel, co presenter with Associate Professor Chris Baker Biological therapies – adverse events and management strategies.

2013 L.I.N.K. Meeting - Specialist Nurses’Meeting, a combined meeting of Dermatology, Paediatric Endocrinology, PAH, Rheumatology, Dermatology and Haemophilia Nurses’. Member steering committee and co-presenter Different Worlds, similar challenges.

2013 Poster Presentation - Australasian Psoriasis Registry

2013 Presenter - Masterclass educational program

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 39 financial report comparative statistics

2012/2013 2011/2012

clincs

S&CF Inc. Patient Services 23,275 25,344

Occupational Derm / Contact Services 1,507 1,429

Photography Services 833 1,125

Total 25,615 27,898

education

Number of sessions 55 54

Number of attendances 1,674 1,623

(Excludes community education)

research - trials

Number of clinical trials undertaken 13 16

Value of clincal trials ($) $727,000 $681,000

australian psoriasis registry

Number of participating sites 22 11

Number of patients on registry 811 563

40 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 statement of financial performance

2012/2013 2011/2012 revenue

Medical fees $ 2,131,888 $ 2,213,086

Pathology joint venture $ 807,611 $ 938,274

Grants $ 796,534 $ 734,736

Drugs and other trials $ 730,568 $ 681,006

Other income $ 397,877 $ 339,456

Rental income $ 258,380 $ 236,507

Donations & fundraising $ 323,139 $ 130,673

Conferences & meetings $ 84,726 $ 85,030

Interest $ 82,968 $ 42,124

Gain on revalution of building $ 1,743,013 $ ---

Total Revenue $ 7,356,704 $ 5,400,892 expenditure

Employee benefits expense $ 3,886,803 $ 3,621,76

Other expenses $ 1,245,134 $ 885,317

Finance costs $ 284,589 $ 273,649

Medical/photographic supplies $ 231,649 $ 243,472

Depreciation expense $ 232,619 $ 234,779

Total Expenditure $ 5,880,794 $ 5,258,978

Operating Profit $ 1,475,910 $ 141,914

Other Income/(Expenditure) $ --- $ ---

Net Profit/(Loss) $ 1,475,910 $ 141,914

Other Comprehensive Income/(Expenditure) $ (140,000) $ 1,000,000

Total Comprehensive Profit/(Loss) $ 1,335,910 $ 1,141,914

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 41 financial report

statement of financial position as at 30 june 2013

2012/2013 2011/2012

assets

Property, plant and equipment $ 10,742,425 $ 9,260,033

Cash and cash equivalents $ 1,605,151 $ 1,421,836

Trade and other receivables $ 248,445 $ 234,119

Other assets $ 165,080 $ 40,142

Total Assets $ 12,761,101 $ 10,956,130

liabilities

Borrowings $ 3,954,740 $ 4,162,078

Trade and other payables $ 642,118 $ 428,979

Employee benefits $ 335,804 $ 294,032

Total Liabilities $ 4,932,662 $ 4,885,089

Net Assets $ 7,828,439 $ 6,071,041

Full audited accounts are available on request or can be downloaded from our website.

The auditors for Skin & Cancer Foundation Inc. are Nexia Melbourne.

42 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 financial visual diagrams

revenue

● Medical Fees ● Rental income ● Pathology joint venture ● Donations & fundraising ● Grants ● Conferences & meetings ● Drugs and other trials ● Interest ● Other income ● Gain on revaluation of building

expenditure

● Employee benefits expense ● Other expenses ● Finance costs ● Medical/photograhic supplies ● Depreciation expense

assets

● Property, plant and equipment ● Cash and cash equivalents ● Trade and other receivables ● Other assets

liabilities

● Borrowings ● Trade and other payables ● Employee Benefits

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 43 financial report

financial commentary

The Foundation finished the year with an overall total comprehensive profit of $1.336 million.

This was principally realised by the net revaluation of land and buildings

The 2012/2013 financial year produced an operating deficit of $136,000 (after internal adjustments from Reserves).

This compares to the previous year when an operating surplus of almost $142,000 was achieved.

In spite of increases in revenue from trials, and fund raising, the primary factors contributing to this operating loss were • Reduction in medical fees $82K • Reduction in Pathology JV income $131K • Substantial maintenance related to air-conditioning repairs, water damage and general repairs $55K

Other causes included an increase in the cost of trials staff, delays in commencement of trials, costs associated with accreditation and preparation for Day Centre approval.

Excluding the revaluation of the building, operating revenue increased from $5.4 mil to $5.6mil. Nevertheless, expenditure rose from $5.26 mil to $5.88mil.

This year included negotiation of a new four year enterprise agreement for nurses which will be finalised early in the next financial year, and a detailed operations review to reduce costs (which is ongoing).

As the Nurses EBA is required to be back dated to 1 July 2012, nursing salaries were increased from that date to cover a substantial portion of the estimated increase under the new agreement. This will reduce back pay in 2013/2014.

The Foundation sought expressions of interest for its banking and loan facilities. This work has now been completed and a new agreement will commence in late October 2013 as the old agreement matures.

The new finance facilities provided by ANZ Private will see a reduction in the cost of banking services, lower rate of interest on the property loan and significant value adds as a result of a business partnership with our new provider, ANZ Private.

The Foundation’s 2013/2014 operating budget does reveal a return to a modest surplus.

The budget will be reviewed again in December 2013, following the introduction of the new Day Centre and associated activities. Our Day Centre will improve revenue and provide health insured patients with minimal or no out of pocket expenses (based on their level of insurance) for surgical procedures.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 44 medical photography

Medical Photography provides clinical imaging and support to our research, educational and clinical services.

We work closely with dermatologists, surgeons and allied health care professionals to deliver high quality clinical photography. We document and monitor a wide range of conditions seen at the specialised clinics at the Foundation, and patients referred in by dermatologists and GPs.

Our photographers are highly qualified and hold a degree (B. App Science (Photography)) and are members of AIMBI (Australian Institute of Medical & Biological Illustrators) and IPT (Institute of Photographic Technology). Additionally our team has completed further specialist training to be qualified as medical photographers.

The main areas of our Medical Photography service include melanoma surveillance photography (mole mapping), scalp photography and general clinical photography. The service helps the doctor and patient documenting the condition as a baseline and assists in monitoring the effectiveness of treatment.

Patients can be referred directly by a dermatologist or GP. We provide a high quality photographic service that can be tailored to the needs of the doctor and patient, whether it is for a patient’s record, presentation or publication.

The benefits for our members and GPs? • Trained medical photographers • Lower costs for the patient - both for the service & photographs, and follow-up with dermatologist or GP as those will be claimable or partially claimable. • Shorter waiting times - patients usually get an appointment very quickly • All female staff in photography – important to many female clients

Call the unit on (03) 9623 9400.

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 45 SCF-Form-IRSI Infection rates 2012/2013

The Skin & Cancer Foundation Inc remains committed to ensuring you receive quality health care. Over the past twelve months, we have had 35 infections recorded from 23,275 patient services provided. Out team aim to improve on that figure for 2013/2014 through regular review of infection control practice and increased supported education for patients.

Wound Infections 10 9 8 7 6 5 4 3 No. of infectionsNo. of 2 1 0

Wound infections

Date:30/11/2013 SCF-Form-IRSI

Incident rates 2013/2013

The Skin & Cancer Foundation Inc introduced a new policy at the commencement of 2013, to improve both reporting standards and, ultimately, to decrease overall incidents. Over the period of the last financial year, over 2,500 surgical procedures have been performed. Incident rates also include any other occurrences requiring response and action.

Date:30/11/2013 SCF-Form-IRSI

Customer feedback

Our feedback forms are located in each of the waiting rooms and on-line access will be incorporated into our new website. We invite all visitors to share their experience of the Foundation, our service and team. Our Patient and Customer Services Manager is available should you wish to speak to a senior staff member.

Date:30/11/2013 patient feedback

“All of the professional and other staff at the Foundation were fantastic.” “Very impressive - Patient feedback care, kindness & professionalism. Many, many thanks.”

- Patient feedback

“Such a patient friendly facility.”

- Patient feedback

“I do hope that I won't have to attend your clinic again but, if I do, I know I will be in the very best of care.”

- Patient feedback

46 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 “Thank you to (the) “Everyone is friendly doctors and nurses and supportive - the for their kindness and explanation & information excellent attention.” is excellent.”

- Patient feedback - Patient feedback

“Everyone I came “All staff were all worthy into contact with was of a special mention. exceptional.” Can't complain about

- Patient feedback anything.”

- Patient feedback

“In today's world it is extremely unusual to find so many people in one place that are so friendly, helpful and professional - not some of the time, but all of the time.”

- Patient feedback

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 47 supporters

The support of our many volunteers, individuals, philanthropic groups, other organisations and the corporate sector is critical to the success of the Skin & Cancer Foundation Inc. We really appreciate their generosity and support.

We must also thank our member dermatologists, many of whom donate their valuable time to provide clinical services, teach, contribute to our education programs, and conduct world-class research.

Altogether, these contributions enable us to achieve significant advances in the treatment, education and research into skin health. The Skin & Cancer Foundation Inc is a not for profit foundation that has Deductible Gift Recipient (DGR) status. We are also an Income Tax Exempt Charity (TEC).

Finally the Foundation wishes to give special thanks to MBE, Queen Street, Melbourne for their generous support in designing this annual report and their assistance with all Foundation collateral design.

48 25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 The William Angliss Charitable Fund

25th Anniversary - Skin & Cancer Foundation Inc - Annual Report 2012 - 2013 49 Skin & Cancer Foundation Inc Level 1/80 Drummond Street Carlton VIC 3053 t: +61 3 9623 9400 f: +61 3 9639 3575 e: [email protected] w: www.skincancer.asn.au

ABN. 58 895 584 259 | Registered Charity A 12501